Individual
AMY MARIE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 S DIXON RD, KOKOMO, IN 46902-6403
(765) 864-0237
(765) 864-0239
Mailing address
2800 S DIXON RD, KOKOMO, IN 46902-6403
(765) 864-0237
(765) 864-0239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001329A
IN
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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